Preliminary study to assay plasma amethocaine concentrations after topical application of a new local anaesthetic cream containing amethocaine.

Abstract:

:Plasma concentrations of amethocaine were measured after topical application of amethocaine cream 2 g (5% w/w) to the dorsum of the right hand of 10 adult volunteers. The cream was applied for 240 min and plasma was assayed for amethocaine and its metabolite p-n-butylaminobenzoic acid at 0, 30, 60, 90, 120 and 240 min in all 10 volunteers, and at 360 min in seven volunteers, by high pressure liquid chromatography. No amethocaine was detected in the plasma of seven volunteers. Plasma concentrations of amethocaine up to 0.20 mg litre-1 were observed in three volunteers. No significant side effects were seen and pain scores on insertion of a 16-gauge cannula were 0 in all subjects. We conclude that the absence of clinical toxicity in the 10 healthy volunteers was a reflection of slow absorption and tissue hydrolysis of amethocaine after topical dermal application.

journal_name

Br J Anaesth

authors

Mazumdar B,Tomlinson AA,Faulder GC

doi

10.1093/bja/67.4.432

subject

Has Abstract

pub_date

1991-10-01 00:00:00

pages

432-6

issue

4

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)47922-0

journal_volume

67

pub_type

杂志文章
  • Recordings of, and an anatomical explanation for, false positive loss of resistance during lumbar extradural analgesia.

    abstract::Loss of resistance dorsal to the ligamentum flavum was recorded in 10 of 16 patients aged 43--75 yr whilst performing extradural anaesthesia at the L2--3 interspace via the midline approach. Degeneration of the interspinous ligament with cavity formation is observed frequently in the elderly and may account for false ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/51.3.253

    authors: Sharrock NE

    更新日期:1979-03-01 00:00:00

  • Anaesthesia and sleep apnoea.

    abstract::Sleep disordered breathing is a common problem affecting all age groups, particularly in association with certain other medical conditions and syndromes. The pathological consequences of the disorder may be severe, with significant implications for the perioperative management of sufferers. Research into the effects o...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/86.2.254

    authors: Loadsman JA,Hillman DR

    更新日期:2001-02-01 00:00:00

  • Determinants of outcome in critically ill octogenarians after surgery: an observational study.

    abstract:BACKGROUND:The population in the UK is growing older and the number of elderly patients cared for on intensive care units (ICU) is increasing. This study was designed to identify risk factors for mortality in critically ill patients of >80 yr of age after surgery. METHODS:We identified 275 patients, aged 80 yr or grea...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aem307

    authors: Ford PN,Thomas I,Cook TM,Whitley E,Peden CJ

    更新日期:2007-12-01 00:00:00

  • Intercostal nerve blockade producing analgesia after appendicectomy.

    abstract::Intercostal nerve blockade of the 10th, 11th and 12th thoracic nerves on the right side was compared with i.m. papaveretum as analgesia after appendicectomy. Patients with intercostal nerve blockade had significantly less pain at 0, 4, 8 and 12 h after operation and required less papaveretum (mean 0.26 mg kg-1/24 h) c...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/61.2.169

    authors: Bunting P,McGeachie JF

    更新日期:1988-08-01 00:00:00

  • Desflurane affords greater protection than halothane against focal cerebral ischaemia in the rat.

    abstract:BACKGROUND:We studied the potential neuroprotective effects of halothane and desflurane, compared with the awake state, on infarct size following 2 h of intraluminal middle cerebral artery occlusion (MCAo) and 22 h of reperfusion. METHODS:Male Sprague-Dawley rats were anaesthetized with desflurane or halothane, intuba...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeg186

    authors: Haelewyn B,Yvon A,Hanouz JL,MacKenzie ET,Ducouret P,Gérard JL,Roussel S

    更新日期:2003-09-01 00:00:00

  • Quality and outcomes in anaesthesia: lessons from litigation.

    abstract::Healthcare litigation in the UK continues to grow at an alarming rate, with claims against anaesthetists and critical care physicians increasing each year. This has led to a huge financial burden for the taxpayer and a sharp increase in professional indemnity fees for individual doctors. Although such litigation shoul...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aes188

    authors: Adams JP,Bell MD,Bodenham AR

    更新日期:2012-07-01 00:00:00

  • Xenon decreases cell migration and secretion of a pro-angiogenesis factor in breast adenocarcinoma cells: comparison with sevoflurane.

    abstract:BACKGROUND:While volatile agents have been implicated in metastasis-enhancing effects on cancer cells, the effects of xenon are unknown. We investigated xenon- and sevoflurane-mediated effects on migration and expression of angiogenesis biomarkers in human breast adenocarcinoma cells. METHODS:MDA-MB-231 and MCF-7 cell...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeu191

    authors: Ash SA,Valchev GI,Looney M,Ni Mhathuna A,Crowley PD,Gallagher HC,Buggy DJ

    更新日期:2014-07-01 00:00:00

  • Effects of hepatic uptake of vecuronium bromide and its putative metabolites on their neuromuscular blocking actions in the cat.

    abstract::The neuromuscular blocking effects of equipotent doses of the three putative metabolites of vecuronium (3-hydroxy vecuronium, 17-hydroxy vecuronium and 3,17-dihydroxy vecuronium) were compared with those of an equipotent dose of vecuronium. Results obtained with the liver excluded from the circulation and after intrap...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/57.8.789

    authors: Bencini AF,Houwertjes MC,Agoston S

    更新日期:1985-08-01 00:00:00

  • Termination of supraventricular tachycardia by propofol.

    abstract::It is known that propofol can have effects on atrioventricular node conduction. We report a case where administration of propofol was associated with termination of supraventricular tachycardia. Although a similar phenomenon has been reported in children, this is the first such case in an adult. ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:

    authors: Kannan S,Sherwood N

    更新日期:2002-06-01 00:00:00

  • Performing perioperative optimization of the high-risk surgical patient.

    abstract::Perioperative risk of death after general surgery is quoted as overall less than 1%. However, each individual's risk varies widely according to many identified factors with some having a significantly increased risk of a worse outcome. The observation that manipulating and targeting certain physiological parameters in...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/ael102

    authors: Tote SP,Grounds RM

    更新日期:2006-07-01 00:00:00

  • Variations in the gliding characteristics of 10-ml plastic syringes used to locate the extradural space by "loss of resistance" techniques.

    abstract::The gliding characteristics were evaluated of 10-ml plastic syringes used to identify the extradural space by "loss of resistance" techniques. This was undertaken quantitatively, by measuring the force necessary to depress syringe plungers, and qualitatively, by examining travel characteristics in terms of the force a...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/61.6.776

    authors: Bricker SR,Coleman P

    更新日期:1988-12-01 00:00:00

  • Comparison of esCCO and transthoracic echocardiography for non-invasive measurement of cardiac output intensive care.

    abstract:BACKGROUND:The esCCO monitor (ECG- estimated Continuous Cardiac Output, Nihon Kohden(®)) is a new non-invasive tool for estimating cardiac output (CO). It derives CO from the pulse wave transit time (PWTT) estimated by the ECG and the plethysmographic wave. An initial calibration is needed to refine the relation linkin...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aes298

    authors: Bataille B,Bertuit M,Mora M,Mazerolles M,Cocquet P,Masson B,Moussot PE,Ginot J,Silva S,Larché J

    更新日期:2012-12-01 00:00:00

  • Tube tip and cuff position using different strategies for placement of currently available paediatric tracheal tubes.

    abstract:BACKGROUND:Tracheal tube tip and cuff positions of different cuffed paediatric tracheal tube brands in the trachea can vary with design. METHODS:Data from three clinical studies with measured tracheal lengths were pooled in a database including 422 children aged from birth to 16 yr. Dimensional data of seven cuffed pa...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1016/j.bja.2018.05.002

    authors: Kemper M,Imach S,Buehler PK,Thomas J,Dave M,Weiss M

    更新日期:2018-08-01 00:00:00

  • Prospective validation of a new airway management algorithm and predictive features of intubation difficulty.

    abstract:BACKGROUND:Some patients have features that indicate possible difficulty with direct laryngoscopy for tracheal intubation. Prediction of the likely outcome and selection of patients for an enhanced management algorithm would reduce the possible harm from failed intubation attempts. METHODS:Adult elective patients were...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1016/j.bja.2018.09.021

    authors: Cook F,Lobo D,Martin M,Imbert N,Grati H,Daami N,Cherait C,Saïdi NE,Abbay K,Jaubert J,Younsi K,Bensaid S,Ait-Mamar B,Slavov V,Mounier R,Goater P,Bloc S,Catineau J,Abdelhafidh K,Haouache H,Dhonneur G

    更新日期:2019-02-01 00:00:00

  • Procedural sedation of elderly patients by emergency physicians: a safety analysis of 740 patients.

    abstract:BACKGROUND:The elderly are perceived as a high-risk group for procedural sedation. Concern exists regarding the safety of sedation of this patient group by emergency physicians, particularly when using propofol. METHODS:We analysed prospectively collected data on patients aged 75 yr or older undergoing sedation betwee...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1016/j.bja.2018.07.038

    authors: Homfray G,Palmer A,Grimsmo-Powney H,Appelboam A,Lloyd G

    更新日期:2018-12-01 00:00:00

  • Bronchial blockers under pressure: in vitro model and ex vivo model.

    abstract:BACKGROUND:Pressures (Pe) exerted by bronchial blockers on the inner wall of the bronchi may cause mucosal ischaemia. Our aims were as follows: (i) to compare the intracuff pressure (Pi) and Pe exerted by commercially available bronchial blockers in an in vitro and an ex vivo model; (ii) to investigate the influence of...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aew120

    authors: Carassiti M,Mattei A,Pizzo CM,Vallone N,Saccomandi P,Schena E

    更新日期:2016-09-01 00:00:00

  • Prediction of tracheostomy tube size for paediatric long-term ventilation: an audit of children with spinal cord injury.

    abstract:BACKGROUND:There are no published data to predict tracheostomy tube size as growth proceeds in children requiring long-term ventilation. METHODS:A retrospective audit was undertaken of children having long-term ventilation, managed from the Southport spinal injuries unit. The dates of step-up in size of tracheostomy t...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeh296

    authors: Behl S,Watt JW

    更新日期:2005-01-01 00:00:00

  • Survival from massive intraoperative pulmonary thromboembolism during orthotopic liver transplantation.

    abstract::We report a case of massive pulmonary embolism occurring at the time of graft reperfusion in a patient undergoing orthotopic liver transplantation. The clinical diagnosis of pulmonary embolus was aided by on-table echocardiography. Cardiopulmonary bypass and surgical embolectomy prevented her death. We discuss the dif...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/80.5.685

    authors: Manji M,Isaac JL,Bion J

    更新日期:1998-05-01 00:00:00

  • Does a first-case on-time-start initiative achieve its goal by starting the entire process earlier or by tightening the distribution of start times?

    abstract:BACKGROUND:We explored whether a previously successful initiative to improve first-case on-time starts succeeded because (i) preoperative steps started earlier (but the process did not necessarily improve) or (ii) the process was brought into better control. METHODS:We analysed 35 months of data comprising 28 882 firs...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1016/j.bja.2018.05.043

    authors: Tiwari V,Ehrenfeld JM,Sandberg WS

    更新日期:2018-11-01 00:00:00

  • Sex and oestrous cycle differences in visceromotor responses and vasopressin release in response to colonic distension in male and female rats anaesthetized with halothane.

    abstract::Visceromotor responses and vasopressin release before and after colonic visceral distension were compared between male (n=5 (n=4 for vasopressin)) and female rats and between females during the oestrous cycle (proestrus n=6, oestrus n=5, metestrus n=5, diestrus n=6) at a controlled depth of anaesthesia. Pre-stimulatio...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/85.6.907

    authors: Holdcroft A,Sapsed-Byrne S,Ma D,Hammal D,Forsling ML

    更新日期:2000-12-01 00:00:00

  • Diagnostic accuracy of a calibrated abdominal compression to predict fluid responsiveness in children.

    abstract:BACKGROUND:Fluid administration to increase stroke volume index (SVi) is a cornerstone of haemodynamic resuscitation. We assessed the accuracy of SVi variation during a calibrated abdominal compression manoeuvre (ΔSVi-CAC) to predict fluid responsiveness in children. METHODS:Patients younger than 8 yr with acute circu...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1016/j.bja.2018.06.030

    authors: Jacquet-Lagrèze M,Tiberghien N,Evain JN,Hanna N,Courtil-Teyssedre S,Lilot M,Baudin F,Chardonnal L,Bompard D,Koffel C,Portefaix A,Javouhey E,Fellahi JL

    更新日期:2018-12-01 00:00:00

  • Pharmacokinetics of glycopyrronium in uraemic patients.

    abstract::We studied the pharmacokinetics of glycopyrronium in 11 uraemic patients undergoing cadaveric renal transplantation and in seven ASA I control patients undergoing general surgery. Glycopyrronium 4 micrograms kg-1 was given i.v. before induction of anaesthesia. Blood and urine samples were collected for up to 24 h for ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/71.3.437

    authors: Kirvelä M,Ali-Melkkilä T,Kaila T,Iisalo E,Lindgren L

    更新日期:1993-09-01 00:00:00

  • Monitoring in the field.

    abstract::This review looks at the challenges faced when monitoring patients in the field environment. It is considered from the perspective of the UK Defence Medical Services and their experiences over the past 20 yr. The lessons learned are applicable to many other circumstances where a high standard of care, for a large spec...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/ael136

    authors: McGuire NM

    更新日期:2006-07-01 00:00:00

  • Meperidine-induced serotonin syndrome in a susceptible patient.

    abstract::We present a patient with a history of clomipramine-induced serotonin syndrome 5 yr prior who developed serotonin syndrome after a single dose of meperidine. This report heightens appreciation of population at risk and also recognition of potential toxicity in meperidine. ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aep167

    authors: Guo SL,Wu TJ,Liu CC,Ng CC,Chien CC,Sun HL

    更新日期:2009-09-01 00:00:00

  • Intravenous infusion of lidocaine significantly reduces propofol dose for colonoscopy: a randomised placebo-controlled study.

    abstract:BACKGROUND:Propofol use during sedation for colonoscopy can result in cardiopulmonary complications. Intravenous lidocaine can alleviate visceral pain and decrease propofol requirements during surgery. We tested the hypothesis that i.v. lidocaine reduces propofol requirements during colonoscopy and improves post-colono...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.bja.2018.06.019

    authors: Forster C,Vanhaudenhuyse A,Gast P,Louis E,Hick G,Brichant JF,Joris J

    更新日期:2018-11-01 00:00:00

  • Comparative effect of thermal, mechanical, and electrical noxious stimuli on the electroencephalogram of the rat.

    abstract:BACKGROUND:Thermal, mechanical, and electrical stimuli are often used in acute pain studies and cause qualitatively different pain sensations. Yet, the comparative electroencephalogram (EEG) changes caused by these stimuli have not been studied. We hypothesized that because these stimuli cause different pain sensations...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/ael377

    authors: Murrell JC,Mitchinson SL,Waters D,Johnson CB

    更新日期:2007-03-01 00:00:00

  • Quantitative EEG in assessment of anaesthetic depth: comparative study of methodology.

    abstract::Methodology for assessment of depth of anaesthesia based on analysis of the electroencephalogram (EEG) is controversial. Techniques range from display of single measures, for example median value of the frequency spectrum, to dedicated pattern recognition systems based on measures of several EEG features. We have comp...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/77.2.172

    authors: Thomsen CE,Prior PF

    更新日期:1996-08-01 00:00:00

  • Differential B and C fibre block by an amide- and an ester-linked local anaesthetic.

    abstract::The relative sensitivity of sympathetic preganglionic and postganglionic axons, B and C fibres, respectively, to two structurally dissimilar local anaesthetics was examined. The concentration of amethocaine (ester-linked tertiary amine) or prilocaine (amide-linked secondary amine) required to reduce the B fibre compou...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/47.11.1135

    authors: Scurlock JE,Heavner JE,de Jong RH

    更新日期:1975-11-01 00:00:00

  • Effect of riluzole on acute pain and hyperalgesia in humans.

    abstract::Riluzole modulates several transmitter systems which may be involved in nociception. Antinociceptive effects have been shown in animal studies, but there are no human data. Therefore, we have examined the acute analgesic effect of riluzole in a human model of inflammatory pain induced by a thermal injury on the distal...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/82.5.718

    authors: Hammer NA,Lillesø J,Pedersen JL,Kehlet H

    更新日期:1999-05-01 00:00:00

  • Association of intraoperative cerebral and muscular tissue oxygen saturation with postoperative complications and length of hospital stay after major spine surgery: an observational study.

    abstract:Background.:Compromised tissue oxygenation is one of the root causes of dysfunction of various organs and postoperative complications. Oxygenation of different tissue beds may follow different patterns of change during physiological derangement. Methods.:Patients undergoing elective major posterior spine surgery parti...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aex008

    authors: Meng L,Xiao J,Gudelunas K,Yu Z,Zhong Z,Hu X

    更新日期:2017-04-01 00:00:00